“…Histologically, a combination of severe hepatocanalicular cholestasis, portal inflammation and absence of bile ducts in the smaller portal areas was striking. These portal changes are inconsistent with extrahepatic cholestasis, as in acute extrahepatic cholestasis the portal areas are oedematous with intact bile ducts, even often dilated, and a neutrophilic portal infiltrate, and in chronic extrahepatic cholestasis the portal areas show bile duct proliferation, fibrosis and a mixed portal infiltrate (14). Moreover, laparoscopy, laparotomy and/or post-mortem examination showed normal patent extrahepatic bile ducts.…”